| NPI | 1194030403 |
|---|---|
| Doing Business As | POLK WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY JO STARK Office Manager 828-894-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |